The orexin system, discovered in 1998, has emerged as a crucial player in regulating the sleep and wake balance inside our brain. This discovery has sparked a burst of novel and dynamic research on the physiology and pathology of sleep. The Orexin System: Basic Science and Role in Sleep Pathology honors this research and the authors share their ideas and perspectives on the novel developments within the field. The book examines the intricate role of the orexin system in regulating sleep and wake, and its interaction with other wake-regulating systems. The orexin system is dissected at the cellular and molecular level to explore the diversity of the orexin-producing neurons, their projections, and their signaling pathways. Additionally, the book discusses the diseases which are associated with a dysfunctional orexin system, such as narcolepsy, insomnia, substance abuse, and Alzheimer’s disease, and explores the new potential therapeutic applications derived from the burst of research around this fascinating system. This publication is essential reading for neurobiologists, neurologists, psychopharmacologists, sleep researchers, and other researchers and clinical scientists interested in sleep, sleep research, insomnia, and medicine in general.
Informations légales : prix de location à la page 0,0005€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.
Extrait
Frontiers of Neurology and Neuroscience
TheOrexinSystem.Basic Science and Role in Sleep Pathology
Editors Michel A. Steiner Masashi Yanagisawa Martine Clozel
Volume 45
The Orexin System. Basic Science and Role in Sleep Pathology
Frontiers of Neurology and Neuroscience Vol. 45
Series Editor J. Bogousslavsky Montreux
The Orexin System. Basic Science and Role in Sleep Pathology
Volume Editors
M.A. SteinerAllschwil M. YanagisawaTsukuba M. ClozelAllschwil
20 figures, 19 in color, and 5 tables, 2021
Basel ∙ Freiburg ∙ Hartford ∙ Oxford ∙ Bangkok ∙ Dubai ∙ Kuala Lumpur ∙ Melbourne ∙ Mexico City ∙ Moscow ∙ New Delhi ∙ Paris ∙ Shanghai ∙ Tokyo
Frontiers of Neurology and Neuroscience Vols. 1–18 were published as Monographs in Clinical Neuroscience
Dr. Michel A. Steiner Idorsia Pharmaceuticals Ltd CH–4123 Allschwil (Switzerland) michel.steiner@idorsia.com
Prof. Masashi Yanagisawa International Institute for Integrative Sleep Medicine (WPI-IIIS) University of Tsukuba Tsukuba, Ibaraki 305-8575 (Japan) yanagisawa.masa.fu@u.tsukuba.ac.jp
Library of Congress Cataloging-in-Publication Data
Names: Steiner, M.A. (Michel-Alexander), editor. | Yanagisawa, M. (Masashi), editor. | Clozel, M. (Martine), editor. Title: The orexin system : basic science and role in sleep pathology / volume editors, M.A. Steiner, M. Yanagisawa, M. Clozel. Other titles: Frontiers of neurology and neuroscience ; v. 45. 1660-4431 Description: Basel ; Hartford : Karger, 2021. | Series: Frontiers of neurology and neuroscience, 1660-4431 ; vol. 45 | Includes bibliographical references and indexes. | Summary: “Discovered in 1998, the orexin system lies at the core of the sleep and wake state regulation inside our brain. This book summarizes recent research, ideas and perspectives from some of the most influential researchers in the fields of hypocretin/orexin and sleep. For example, it explains the intricate role of the orexin system in the different sleep phases and in the pathways that are related to memory and cognition. It also provides an overview of diseases which are caused by, or associated with a dysfunctional orexin system, such as narcolepsy, insomnia, substance abuse, or Alzheimer’s disease”-- Provided by publisher. Identifiers: LCCN 2021007426 (print) | LCCN 2021007427 (ebook) | ISBN 9783318068436 (hardcover ; alk. paper) | ISBN 9783318068443 (ebook) Subjects: MESH: Orexins--physiology | Sleep--physiology | Orexin Receptors--physiology | Wakefulness--physiology | Sleep Wake Disorders--physiopathology Classification: LCC QP572.O74 (print) | LCC QP572.O74 (ebook) | NLM W1 MO568C v.45 2021 | DDC 612.4/05--dc23 LC record available at https://lccn.loc.gov/2021007426 LC ebook record available at https://lccn.loc.gov/2021007427
Dr. Martine Clozel Idorsia Pharmaceuticals Ltd CH–4123 Allschwil (Switzerland) martine.clozel@idorsia.com
The copyright of each individual book chapter is held by the author(s) of the respective chapter. Each individual chapter is licensed under a Creative Commons AttributionNonCommericalNo Derivative 4.0 International License (CC BYNCND 4.0). Any use of a book chapter in whole or in parts, in any way that is not covered by the applicable license, requires permission in writing by S. Karger AG.
Idorsia Pharmaceuticals Ltd and its affiliates have a license to use this work for their own commercial or promotional purposes.
Sponsor Note Idorsia Pharmaceuticals Ltd. supported the development of this volume of the Frontiers of Neurology and Neuroscience book series.
Disclosures The Guest Editors declare that during the development of the book, Michel A. Steiner and Martine Clozel were employed by Idorsia Pharmaceuticals Ltd., Allschwil, Switzerland, and that Professor Yanagisawa, an independent researcher (Director and Professor of the International Institute for Integrative Sleep Medicine [WPI-IIIS], University of Tsukuba, Ibaraki, Japan) received consultancy fees from Idorsia Pharmaceuticals Ltd.
Editorial assistance for the development of the book was provided by Jessica Beake (Beake Medicom), funded by Idorsia Pharmaceuticals Ltd.
V
Contents
IX Preface Steiner, M.A. (Allschwil); Yanagisawa, M. (Tsukuba); Clozel, M. (Allschwil)
Section I: The Orexin System and Its Role in Regulating Sleep and Wake 1 TwentyThree Years of Hypocretins: The “Rosetta Stone” of Sleep/ Arousal Circuits de Lecea, L. (Stanford, CA) 11between Orexin Neurons and Monoaminergic Systems Interaction Sakurai, T.; Saito, Y.C.; Yanagisawa, M. (Tsukuba) 22Receptor Pharmacology and Sleep Phases Hypocretin/Orexin Sun, Y.; Tisdale, R.K.; Kilduff, T.S. (Menlo Park, CA) 38 Sleep, Orexin and Cognition Toor, B.; Ray, L.B.; Pozzobon, A.; Fogel, S.M. (Ottawa, ON)
Section II: Cellular and Molecular Dissection of the Orexin System 52 Subsecond Ensemble Dynamics of Orexin Neurons Link Sensation and Action Burdakov, D. (Zürich) 61of Hypocretin/Orexin Neurons Heterogeneity Sagi, D. (RamatGan); de Lecea, L. (Stanford, CA); Appelbaum, L. (RamatGan) 75and Metabolism: Implication of Lateral Hypothalamic Neurons Sleep Oesch, L.T.; Adamantidis, A.R. (Bern) 91Signaling Mechanisms of Hypocretin/Orexin Cellular Kukkonen, J.P.; Turunen, P.M. (Helsinki)
VI
Section III: The Orexin System in Sleep Pathology 103 Sleep Problems in Narcolepsy and the Role of Hypocretin/Orexin Deficiency Mignot, E.; Zeitzer, J. (Palo Alto, CA); Pizza, F. (Bologna); Plazzi, G. (Bologna/Modena) 117 The InsomniaAddiction Positive Feedback Loop: Role of the Orexin System Fragale, J.E.; James, M.H.; Avila, J.A. (Piscataway, NJ); Spaeth, A.M.; Aurora, R.N. (New Brunswick, NJ); Langleben, D. (Philadelphia, PA); AstonJones, G. (Piscataway, NJ) 128 Causes and Consequences of Chronic Sleep Deficiency and the Role of Orexin Mullington, J.M.; Cunningham, T.J.; Haack, M.; Yang, H. (Boston, MA) 139 Hypocretin/Orexin, Sleep and Alzheimer’s Disease Dauvilliers, Y. (Montpellier)
150Index Author 151 Subject Index
Contents
VII
Preface Published online: May 28, 2021
Steiner MA, Yanagisawa M, Clozel M (eds): The Orexin System. Basic Science and Role in Sleep Pathology. Front Neurol Neurosci. Basel, Karger, 2021, vol 45, pp IX–X (DOI: 10.1159/000514968)
Preface
Orexîns (ypocretîns) and teîr receptors were dîscovered în 1998. Orexîn neuropeptîdes are produced by a very small number of cells în te lateral ypotalamus, suggestîng a fundamental role în omeostasîs. Despîte te name “orexîn,” wîc was coîned after te orîgînal dîscovery of îts role în appetîte regulatîon, te orexîn system as foremost emerged as a crucîal player în te maîntenance of wakefulness and vîgîlance. Te orexîn system îs îgly conserved across vertebrates; îts role în arousal and wakefulness stabîlîzatîon îs es-sentîal and cannot be replaced by anoter braîn cîrcuît. Te dîscovery of ypocretîn/ orexîn rapîdly led to te ypotesîs of îts patogenîc contrîbutîon în te abnormal state of yperarousal of însomnîa and, for îts defîcîency, în narcolepsy and cataplexy. Sleep îs one of te greatest marvels and mysterîes of our pysîology. Sleep îs funda-mental to our daîly lîfe and te qualîty of our agîng. Sleep deprîvatîon alters learnîng and memory and îmmune cell actîvîty, încreases te rîsk of ypertensîon, cancer, and depres-sîon and încreases amyloîd- concentratîon în te braîn. Sleep elps to repaîr DNA strand breaks and synaptîc dîsruptîons tat occur durîng te actîve perîod and controls sympa-tetîc tone. Conversely, însomnîa îs a major dîsease în our modern world, and sleep îs îtself frequently affected by dîseases. Insomnîa îs one of te fîrst symptoms of Alzeîmer’s dîsease. Sort sleep duratîon predîcts îger all-cause mortalîty. Te dîscovery of te orexîn system opened te door to a novel and dynamîc researc on sleep. It îs tîs researc wîc we wîs to onor ere, wîtîn tîs book. Sînce tîs dîs-covery, parmaceutîcal companîes started to develop molecules to enance te under-standîng of te consequences of orexîn receptor blockade în însomnîa. In 2007, researc-ers at Actelîon Parmaceutîcals Ltd. descrîbed, for te fîrst tîme, te sleep-promotîng effects of a dual orexîn receptor antagonîst (DORA), almorexant, across several specîes, încludîng uman. In 2014 and 2019, respectîvely, te US Food and Drug Admînîstratîon (FDA) approved te two DORAs, suvorexant and lemborexant, for te treatment of prî-mary însomnîa. A tîrd molecule, darîdorexant, împroved not only sleep but also daytîme functîonîng în patîents wît însomnîa, and, as we publîs tîs book, îs under revîew for approval by ealt autorîtîes. Tese tree DORAs are all effîcacîous în reducîng latency to sleep and wake after sleep onset, and tey prolong total sleep tîme wîtout alterîng te pysîologîcal sleep arcîtecture.
hîs artîcle îs lîcensed under te Creatîve Commons Attrîbutîon-NonCommercîal-NoDerîvatîves 4.0 Internatîonal Lîcense(CC BY-NC-ND) (ttp://www.karger.com/Servîces/OpenAccessLîcense).Usage and dîstrîbutîon for commercîal purposes as well as any dîstrîbutîon of modîied materîal requîres wrîtten permîssîon.
Besîdes stabîlîzîng wakefulness, oter roles of orexîns are emergîng, încludîng te modulatîon of stress-, feedîng-, and reward-related patways wîtîn te braîn. Tîs functîonal dîversîty îs for a large part acîeved troug te complexîty of te orexîn sys-tem, wît îts two dîfferent peptîdes and two receptors tat are dîfferentîally released and dîstrîbuted trougout te braîn. Te fîrst selectîve orexîn 1 or 2 receptor antagonîsts (SORAs) ave entered clînîcal trîals and are currently under învestîgatîon for te treat-ment of mood, anxîety, and eatîng dîsorders. Orexîn receptor agonîsts are beîng ex-plored as novel treatments for narcolepsy. In tîs book,The Orexin System. Basic Science and Role in Sleep Pathology, we ave gatered te îdeas and perspectîves from some of te most înfluentîal researcers în te fîelds of ypocretîn/orexîn and sleep. As autors, tey sare teîr tougts on novel de-velopments and provîde focused revîews on topîcs of partîcular înterest. In te fîrst sectîon of te book, “Te Orexîn System and Its Role în Regulatîng Sleep and Wake,” Professors Luîs de Lecea, Takesî Sakuraî & Masasî Yanagîsawa, Tomas S. Kîlduff, and Stuart M. Fogel, take you on a journey to îllustrate te complexîty and înter-correlatîon of te orexîn system wît oter sleep- and wake-regulatîng neurotransmîtter systems. Te autors explaîn te întrîcate role of te orexîn system în te dîfferent sleep pases and în te patways tat are, for înstance, related to memory and cognîtîon. In te second sectîon, “Cellular and Molecular Dîssectîon of te Orexîn System,” Pro-fessors Denîs Burdakov, Lîor Appelbaum, Antoîne R. Adamantîdîs, and Jyrkî P. Kuk-konen, marvel at te cellular and subcellular dîversîty of te few tousand orexîn-produc-îng neurons wîtîn te ypotalamus. Te temporally controlled fîrîng of orexîn neurons and te spatîally restrîcted actîons wîtîn certaîn projectîon areas can be explaîned by te dîversîty în orexîn receptor sîgnalîng patways, te co-release of oter types of neu-rotransmîtters, te întegratîon of multîple încomîng sîgnals, and te assortments of dîf-ferent gene-expressîon profîles among clusters of orexîn neurons. In te fînal sectîon of te book, “Te Orexîn System în Sleep Patology,” Professors Emmanuel Mîgnot, Gary Aston-Jones, Janet M. Mullîngton, and Yves Dauvîllîers provîde an overvîew of dîseases wîc are caused by, or assocîated wît, a dysfunctîonal orexîn system, suc as narcolepsy, însomnîa, substance abuse, or Alzeîmer’s dîsease. Tey învîte us to explore te new potentîal terapeutîc applîcatîons derîved from researc around te orexîn system. We, as edîtors, wîs to acknowledge wît gratîtude te many scîentîsts, clînîcîans, and patîents wo ave contrîbuted towards te development of te understandîng of te orex-în system and te clînîcal applîcatîons to împrovîng te ealt of patîents and te com-munîty. We învîte te reader to now take a “deep dîve” înto te mysterîous world of tîs fascînatîng ypocretîn/orexîn system, wîc lîes at te core of te sleep and wake state regulatîon însîde our braîn. We ope you wîll fînd te capters as tougt-provokîng and înformatîve as we ave.
X
Michel A. Steiner, Allscwîl, Swîtzerland Masashi Yanagisawa, Tskukuba, Japan Martine Clozel, Allscwîl, Swîtzerland
Steiner/Yanagisawa/Clozel
Steiner MA, Yanagisawa M, Clozel M (eds): The Orexin System. Basic Science and Role in Sleep Pathology. Front Neurol Neurosci. Basel, Karger, 2021, vol 45, pp IX–X (DOI: 10.1159/000514968)